腰痛患者中与腰痛及其相关因素有关的知识：一项横断面研究。

Knowledge related to low back pain and its associated factors in patients with low back pain: A cross-sectional study.

作者信息

Kanaan Saddam F, Alissa Hadeel M K, Jaber Ala'a F, Almhdawi Khader A, Mansour Zaid M, Alhanada Mohammad

机构信息

Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Department of Physical and Occupational Therapy, The Hashemite University, Zarqa, Jordan.

出版信息

J Back Musculoskelet Rehabil. 2023;36(1):217-225. doi: 10.3233/BMR-220004.

DOI:10.3233/BMR-220004

PMID:35848012

Abstract

BACKGROUND

Patients' knowledge about low back pain (LBP) negatively influences LBP prognosis. Studying the extent of patients' knowledge about LBP may help clinicians design effective LBP treatment strategies.

OBJECTIVE

To explore the level of LBP knowledge and its associated factors in patients with LBP.

METHODS

A cross-sectional study with a representative sample. Participants with acute or chronic LBP completed a self-administered questionnaire including sociodemographic and clinical characteristics. We used the Low Back Pain Knowledge Questionnaire (LBP_KQ) to assess knowledge, the Fear-Avoidance Beliefs Questionnaire for LBP (FABQ_LBP) to assess fear of movement, the Oswestry Disability Index (ODI) to assess functional disability, Depression Anxiety Stress Scales (DASS 21) to assess mental health status, and the Numeric Pain Rating Scale (NPRS) to assess pain intensity.

RESULTS

A total of 271 individuals with LBP completed the study. The mean age of participants was 39.86 (± 11.27), the LBP chronicity median was 18 (IQR = 44) months, and 56.5% of the participants were females. The mean LBP_KQ score was 9.29 (± 3.89)/24. An educational level higher than high school (diploma education (β= 1.202 [95%CI: 5.633 to 11.498], p< 0.001), bachelor or higher education (β= 2.270 [95%CI: 1.107 to 3.433], p< 0.001)), and using pain killers (β= 1.180 [95%CI: 0.140 to 2.221], p= 0.026) were significantly associated with higher LBP_KQ score. While being employed (β=-1.422 [95%CI: -2.462 to -0.382], p= 0.008) and having higher DASS Anxiety score (β=-0.144 [95%CI: -0.240 to -0.048], p= 0.003) were significantly associated with lower LBP_KQ score.

CONCLUSIONS

Individuals with chronic LBP in Jordan demonstrated relatively low levels of LBP knowledge related to their condition. Rehabilitation personnel, healthcare stakeholders, and policymakers should carefully monitor the level of LBP knowledge and its associated factors.

摘要

背景

患者对腰痛（LBP）的认知会对LBP的预后产生负面影响。研究患者对LBP的认知程度可能有助于临床医生设计有效的LBP治疗策略。

目的

探讨LBP患者的LBP知识水平及其相关因素。

方法

一项具有代表性样本的横断面研究。急性或慢性LBP患者完成一份包括社会人口学和临床特征的自填式问卷。我们使用腰痛知识问卷（LBP_KQ）评估知识，使用LBP恐惧回避信念问卷（FABQ_LBP）评估对运动的恐惧，使用Oswestry功能障碍指数（ODI）评估功能障碍，使用抑郁焦虑压力量表（DASS 21）评估心理健康状况，使用数字疼痛评分量表（NPRS）评估疼痛强度。

结果

共有271名LBP患者完成了研究。参与者的平均年龄为39.86（±11.27）岁，LBP慢性病程中位数为18（四分位间距=44）个月，56.5%的参与者为女性。LBP_KQ平均得分为9.29（±3.89）/24。高中以上教育水平（文凭教育（β=1.202 [95%置信区间：5.633至11.498]，p<0.001），学士或更高教育水平（β=2.270 [95%置信区间：1.107至3.433]，p<0.001））以及使用止痛药（β=1.180 [95%置信区间：0.140至2.221]，p=0.026）与更高的LBP_KQ得分显著相关。而就业（β=-1.422 [95%置信区间：-2.462至-0.382]，p=0.008）和DASS焦虑得分较高（β=-0.144 [95%置信区间：-0.240至-0.048]，p=0.003）与较低的LBP_KQ得分显著相关。